Evidence map›Paper›PMID 41291488›Full record

ArticleBMC geriatrics2025

Multifactorial predictors of falls in older adults: a decade of data from the National Health and Aging Trends Study.

Lou C Kohler-Voinov, Zahra N Sayyid, Kathleen E Cullen

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Lou C Kohler-VoinovDepartment of Biomedical Engineering, Tsinghua University, Beijing, 100084, China.ORCID 0009-0000-5768-6398
Zahra N SayyidDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA.
Kathleen E CullenDepartment of Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, 21205, USA. kathleen.cullen@jhu.edu.ORCID 0000-0002-9348-0933

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFalls are a leading cause of injury and loss of independence among older adults, yet comprehensive, population-level models that integrate diverse risk factors across broad demographic groups remain limited. Prior studies often focus on isolated variables or narrow subpopulations, limiting their generalizability.

methodsTo address this, we developed a robust, comprehensive model of fall risk among community-dwelling older adults using 11 years of data from the National Health and Aging Trends Study (NHATS), a longitudinal study of older adults in the United States designed to be nationally representative across a wide range of demographic and socioeconomic backgrounds. We conducted a retrospective analysis of 5,816 person-year observations from 2011 to 2022, applying univariate chi-squared tests and multivariable logistic regression to identify features associated with self-reported falls within a given month in the preceding year. Risk factors examined included sociodemographic characteristics, health status, cognitive function, and physical performance.

resultsApproximately 10% of respondents reported a fall during a specific time within the past year. Consistent features associated with increased fall risk included prior fall history, impaired balance, depressive symptoms, and use of mobility aids. Cross-category analyses revealed important variations in risk profiles by age, functional status and ability to perform certain exercises.

conclusionsThis study presents a decade-spanning model that reflects the multifactorial nature of fall risk and the diversity of aging trajectories in the U.S., providing a foundation for more inclusive and personalized fall prevention strategies.

Indexed as

Accidental FallsAgingAgedAged, 80 and overFemaleHumansIndependent LivingLongitudinal StudiesMaleRetrospective StudiesRisk FactorsUnited StatesActivities of daily living (ADLs)Fall risk factorsFallsFunctional statusMultivariable modelingNHATSOlder adultsPopulation-based analysis

Identifiers

PMID41291488
PMCPMC12645780

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.